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Erschienen in: CardioVascular and Interventional Radiology 9/2019

10.05.2019 | Technical Note

Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection

verfasst von: Tomoyo Fuji, Takuji Yamagami, Wataru Fukumoto, Yasutaka Baba, Keigo Chosa, Masaki Ishikawa, Makoto Iida, Akira Naito, Yoshiaki Murakami, Kenichiro Uemura, Naru Kondo, Kazuo Awai

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 9/2019

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Abstract

Purpose

We evaluated the usefulness of the Amplatzer vascular plug (AVP) for preoperative embolization before distal pancreatectomy with en bloc celiac axis resection (DP-CAR).

Materials and Methods

Between April 2010 and September 2017, 19 patients with locally advanced pancreatic body cancer underwent preoperative embolization of the common hepatic and the left gastric artery (CHA, LGA) with AVP or coils. We compared the embolization success rate, embolization-related complications, the time required for preoperative embolization before DP-CAR and the procedure costs in patients whose CHA was AVP- (n = 7) or coil (n = 12) embolized.

Results

The success rate for preoperative AVP and coil embolization was 100% and 83.3%, respectively. The median procedure time was shorter in patients whose CHA was embolized with AVP than coils; the difference was not significant (p = 0.045). The total cost was significantly lower for AVP than coil embolization (p = 0.01).

Conclusion

The AVP is useful for the preoperative embolization of the CHA before DP-CAR.
Literatur
1.
Zurück zum Zitat Sasson AR, Hoffman JP, Ross EA, Kagan SA, Pingpank JF, Eisenberg BL. En bloc resection for locally advanced cancer of the pancreas: is it worthwhile? J Gastrointest Surg. 2002;6:147–57 (Discussion 57–58).CrossRefPubMed Sasson AR, Hoffman JP, Ross EA, Kagan SA, Pingpank JF, Eisenberg BL. En bloc resection for locally advanced cancer of the pancreas: is it worthwhile? J Gastrointest Surg. 2002;6:147–57 (Discussion 57–58).CrossRefPubMed
2.
Zurück zum Zitat Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Okushiba S, et al. Results of radical distal pancreatectomy with en bloc resection of the celiac artery for locally advanced cancer of the pancreatic body. Langenbecks Arch Surg. 2003;388:101–6.CrossRefPubMed Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Okushiba S, et al. Results of radical distal pancreatectomy with en bloc resection of the celiac artery for locally advanced cancer of the pancreatic body. Langenbecks Arch Surg. 2003;388:101–6.CrossRefPubMed
3.
Zurück zum Zitat Makary MA, Fishman EK, Cameron JL. Resection of the celiac axis for invasive pancreatic cancer. J Gastrointest Surg. 2005;9:503–7.CrossRefPubMed Makary MA, Fishman EK, Cameron JL. Resection of the celiac axis for invasive pancreatic cancer. J Gastrointest Surg. 2005;9:503–7.CrossRefPubMed
4.
Zurück zum Zitat Hirano S, Kondo S, Hara T, Ambo Y, Tanaka E, Shichinohe T, et al. Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer: long-term results. Ann Surg. 2007;246:46–51.CrossRefPubMedPubMedCentral Hirano S, Kondo S, Hara T, Ambo Y, Tanaka E, Shichinohe T, et al. Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer: long-term results. Ann Surg. 2007;246:46–51.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Ishikawa M, Kajiwara K, Fukumoto W, Murakami Y, Awai K. Blood flow redistribution using the AMPLATZER vascular plug 4 before distal pancreatectomy with en bloc celiac axis resection. J Vasc Interv Radiol. 2016;27:285–6.CrossRefPubMed Ishikawa M, Kajiwara K, Fukumoto W, Murakami Y, Awai K. Blood flow redistribution using the AMPLATZER vascular plug 4 before distal pancreatectomy with en bloc celiac axis resection. J Vasc Interv Radiol. 2016;27:285–6.CrossRefPubMed
6.
Zurück zum Zitat Miura T, Hirano S, Nakamura T, Tanaka E, Shichinohe T, Tsuchikawa T, et al. A new preoperative prognostic scoring system to predict prognosis in patients with locally advanced pancreatic body cancer who undergo distal pancreatectomy with en bloc celiac axis resection: a retrospective cohort study. Surgery. 2014;155:457–67.CrossRefPubMed Miura T, Hirano S, Nakamura T, Tanaka E, Shichinohe T, Tsuchikawa T, et al. A new preoperative prognostic scoring system to predict prognosis in patients with locally advanced pancreatic body cancer who undergo distal pancreatectomy with en bloc celiac axis resection: a retrospective cohort study. Surgery. 2014;155:457–67.CrossRefPubMed
7.
Zurück zum Zitat Nakamura T, Hirano S, Noji T, Asano T, Okamura K, Tsuchikawa T, et al. Distal pancreatectomy with en bloc celiac axis resection (modified apple by procedure) for locally advanced pancreatic body cancer: a single-center review of 80 consecutive patients. Ann Surg Oncol. 2016;23:969–75.CrossRefPubMed Nakamura T, Hirano S, Noji T, Asano T, Okamura K, Tsuchikawa T, et al. Distal pancreatectomy with en bloc celiac axis resection (modified apple by procedure) for locally advanced pancreatic body cancer: a single-center review of 80 consecutive patients. Ann Surg Oncol. 2016;23:969–75.CrossRefPubMed
8.
Zurück zum Zitat Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Maeyama Y, et al. Ischemic gastropathy after distal pancreatectomy with celiac axis resection. Surg Today. 2004;34:337–40.CrossRefPubMed Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Maeyama Y, et al. Ischemic gastropathy after distal pancreatectomy with celiac axis resection. Surg Today. 2004;34:337–40.CrossRefPubMed
9.
Zurück zum Zitat Abo D, Hasegawa Y, Sakuhara Y, Terae S, Shimizu T, Tha KK, et al. Feasibility of a dual microcatheter-dual interlocking detachable coil technique in preoperative embolization in preparation for distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer. J Hepatobiliary Pancreat Sci. 2012;19:431–7.CrossRefPubMed Abo D, Hasegawa Y, Sakuhara Y, Terae S, Shimizu T, Tha KK, et al. Feasibility of a dual microcatheter-dual interlocking detachable coil technique in preoperative embolization in preparation for distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer. J Hepatobiliary Pancreat Sci. 2012;19:431–7.CrossRefPubMed
10.
Zurück zum Zitat Okada T, Sakurai N, Yamamoto K, Motoi F, Kakizaki Y, Tamura G, et al. A case of curatively resected locally advanced cancer of the pancreatic body treated by distal pancreatectomy with en bloc celiac axis resection after neoadjuvant chemotherapy. Gan To Kagaku Ryoho. 2012;39:135–7.PubMed Okada T, Sakurai N, Yamamoto K, Motoi F, Kakizaki Y, Tamura G, et al. A case of curatively resected locally advanced cancer of the pancreatic body treated by distal pancreatectomy with en bloc celiac axis resection after neoadjuvant chemotherapy. Gan To Kagaku Ryoho. 2012;39:135–7.PubMed
11.
Zurück zum Zitat Okada K, Kawai M, Tani M, Hirono S, Miyazawa M, Shimizu A, et al. Preservation of the left gastric artery on the basis of anatomical features in patients undergoing distal pancreatectomy with celiac axis en-bloc resection (DP-CAR). World J Surg. 2014;38:2980–5.CrossRefPubMed Okada K, Kawai M, Tani M, Hirono S, Miyazawa M, Shimizu A, et al. Preservation of the left gastric artery on the basis of anatomical features in patients undergoing distal pancreatectomy with celiac axis en-bloc resection (DP-CAR). World J Surg. 2014;38:2980–5.CrossRefPubMed
12.
Zurück zum Zitat Takasaka I, Kawai N, Sato M, Tanihata H, Sonomura T, Minamiguchi H, et al. Preoperative microcoil embolization of the common hepatic artery for pancreatic body cancer. World J Gastroenterol. 2012;18:1940–5.CrossRefPubMedPubMedCentral Takasaka I, Kawai N, Sato M, Tanihata H, Sonomura T, Minamiguchi H, et al. Preoperative microcoil embolization of the common hepatic artery for pancreatic body cancer. World J Gastroenterol. 2012;18:1940–5.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Yamagami T, Yoshimatsu R, Kajiwara K, Ishikawa M, Murakami Y, Uemura K, et al. Arteriography after embolization before distal pancreatectomy with en bloc celiac axis resection. Minim Invasive Ther Allied Technol. 2015;24:350–5.CrossRefPubMed Yamagami T, Yoshimatsu R, Kajiwara K, Ishikawa M, Murakami Y, Uemura K, et al. Arteriography after embolization before distal pancreatectomy with en bloc celiac axis resection. Minim Invasive Ther Allied Technol. 2015;24:350–5.CrossRefPubMed
14.
Zurück zum Zitat Toguchi M, Tsurusaki M, Numoto I, Hidaka S, Yamakawa M, Asato N, et al. Utility of Amplatzer vascular plug with preoperative common hepatic artery embolization for distal pancreatectomy with en bloc celiac axis resection. Cardiovasc Intervent Radiol. 2017;40:445–9.CrossRefPubMed Toguchi M, Tsurusaki M, Numoto I, Hidaka S, Yamakawa M, Asato N, et al. Utility of Amplatzer vascular plug with preoperative common hepatic artery embolization for distal pancreatectomy with en bloc celiac axis resection. Cardiovasc Intervent Radiol. 2017;40:445–9.CrossRefPubMed
15.
Zurück zum Zitat Boxier H, Tomasello A, Quiroga S, Cordoba J, Perez M, Segarra A. Successful embolization of a spontaneous mesocaval shunt using the Amplatzer vascular plug II. Cardiovasc Intervent Radiol. 2010;33:1044–8.CrossRef Boxier H, Tomasello A, Quiroga S, Cordoba J, Perez M, Segarra A. Successful embolization of a spontaneous mesocaval shunt using the Amplatzer vascular plug II. Cardiovasc Intervent Radiol. 2010;33:1044–8.CrossRef
16.
Zurück zum Zitat Zhu X, Tam MD, Pierce G, McLennan G, Sands MJ, Lieber MS, et al. Utility of the Amplatzer vascular plug in splenic artery embolization: a comparison study with conventional coil technique. Cardiovasc Intervent Radiol. 2011;34:522–31.CrossRefPubMed Zhu X, Tam MD, Pierce G, McLennan G, Sands MJ, Lieber MS, et al. Utility of the Amplatzer vascular plug in splenic artery embolization: a comparison study with conventional coil technique. Cardiovasc Intervent Radiol. 2011;34:522–31.CrossRefPubMed
17.
Zurück zum Zitat Ringe KI, Weidemann J, Rosenthal H, Keberle M, Chavan A, Baus S, et al. Transhepatic preoperative portal vein embolization using the Amplatzer vascular plug: report of four cases. Cardiovasc Intervent Radiol. 2007;30:1245–7.CrossRefPubMed Ringe KI, Weidemann J, Rosenthal H, Keberle M, Chavan A, Baus S, et al. Transhepatic preoperative portal vein embolization using the Amplatzer vascular plug: report of four cases. Cardiovasc Intervent Radiol. 2007;30:1245–7.CrossRefPubMed
18.
Zurück zum Zitat Lee SA, Lee YS, Lee KS, Jeon GS. Congenital intrahepatic portosystemic venous shunt and liver mass in a child patient: successful endovascular treatment with an Amplatzer vascular plug (AVP). Korean J Radiol. 2010;11:583–6.CrossRefPubMedPubMedCentral Lee SA, Lee YS, Lee KS, Jeon GS. Congenital intrahepatic portosystemic venous shunt and liver mass in a child patient: successful endovascular treatment with an Amplatzer vascular plug (AVP). Korean J Radiol. 2010;11:583–6.CrossRefPubMedPubMedCentral
Metadaten
Titel
Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection
verfasst von
Tomoyo Fuji
Takuji Yamagami
Wataru Fukumoto
Yasutaka Baba
Keigo Chosa
Masaki Ishikawa
Makoto Iida
Akira Naito
Yoshiaki Murakami
Kenichiro Uemura
Naru Kondo
Kazuo Awai
Publikationsdatum
10.05.2019
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 9/2019
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-019-02233-6

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